Providing value to patients and providers via a pediatric statewide antibiogram in South Carolina

Pamela Bailey; Kayla Antosz; Robert Daniels; Andrew B Gainey; Anna Kathryn Burch

doi:10.1017/ash.2023.149

Providing value to patients and providers via a pediatric statewide antibiogram in South Carolina

Antimicrob Steward Healthc Epidemiol. 2023 Apr 24;3(1):e78. doi: 10.1017/ash.2023.149. eCollection 2023.

Authors

Pamela Bailey^{1

2

3

4}, Kayla Antosz^{1

3

5}, Robert Daniels⁶, Andrew B Gainey⁶, Anna Kathryn Burch^{3

6

7}

Affiliations

¹ Prisma Health Midlands, Columbia, South Carolina.
² University of South Carolina School of Medicine, Columbia, South Carolina.
³ Antimicrobial Stewardship Collaborative of South Carolina (ASC-SC), Columbia, South Carolina.
⁴ Medical University of South Carolina Columbia, Columbia, South Carolina.
⁵ University of South Carolina College of Pharmacy, Columbia, South Carolina.
⁶ Prisma Health Children's Hospital-Midlands, Columbia, South Carolina.
⁷ South Carolina Department of Health and Environmental Control (DHEC), Columbia, South Carolina.

Abstract

Objective: Antimicrobial stewardship has special challenges in particular populations and facilities, including pediatrics. We sought to augment the information available to antimicrobial stewardship programs (ASPs) by created a cumulative statewide antibiogram for neonatal and pediatric populations.

Methods: In the Antimicrobial Stewardship Collaborative of South Carolina (ASC-SC), we created statewide antibiograms, including a separate antibiogram accounting for the pediatric and neonatal intensive care unit (NICU) populations. We collated data from the 4 pediatric and 3 NICU facilities in the state to provide a cumulative statewide antibiogram.

Results: Methicillin-susceptible Staphylococcus aureus was more prevalent than methicillin-resistant Staphylococcus aureus. Pseudomonas aeruginosa, Citrobacter koserii, and Acinetobacter baumannii were isolated in only 1 NICU.

Conclusions: These antibiograms should improve empiric prescribing in both the inpatient and outpatient setting, providing data in some areas that historically do not have pediatric antibiogram to inform prescribing. The antibiogram alone is not sufficient independently to improve prescribing but is one important aspect of stewardship in the pediatric population of South Carolina.